<include file="Public:header"/>

	<Joyeasy:list sql="SELECT * FROM `yey_category` where id=30" id="r">					
		<!--首页zhongbox-->
		<div class="zhongbox">
			<div class="zhongnr">
				<!--二级banner-->
				<div class="erjibanner">
					<img src="{$r.image}" width="840" height="260" />
				</div>
				<!--二级banner-->
				<!--二级tou-->
				<div class="erjit">
					<div class="erjit_t">
					{$r.catname}
					</div>
                    <Joyeasy:list sql="SELECT * FROM `yey_category` where parentid=$r[id] order by listorder asc,id asc" id="rs">					
                        <if condition="$rs.id eq $catid">
							<div class="erjit_li2">
								<a href="{$rs.url}">{$rs.catname}</a>
							</div>
                        <else />
							<div class="erjit_li">
								<a href="{$rs.url}">{$rs.catname}</a>
							</div>
                        </if>
                    </Joyeasy:list>
					<img src="../Public/img/qidi.jpg" style="float:right;margin-right:50px;" />
					<div class="clear"></div>
				</div>
				<!--二级tou-->
				<!--二级content-->
				<div class="erji_nr" style="padding-top:20px;padding-bottom:20px;">
					<img src="../Public/img/baoming1.jpg" />
					<form action="{:U('Home/Index/baoming/')}" method="post">
					<div class="baomingdi">
						<div class="baomingli" style="padding-top:120px;">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							幼儿姓名 
							</div>
							<div class="baomingli_you">
								<span>
								Student's Name:
								</span>
								<input type="text" name="title" class="bminput" />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							幼儿性别 
							</div>
							<div class="baomingli_you">
								<span>
								Sex:
								</span>
								<input type="radio" name="sex" style="" value="1" checked="checked" />
								<img src="../Public/img/nan.jpg" style=""  />
								<input type="radio" name="sex" style="" value="2" />
								<img src="../Public/img/nv.jpg" style=""  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							出生日期 
							</div>
							<div class="baomingli_you">
								<span>
								Brith Date: 
								</span>
								<select name="nian"  >
									<option value="">年</option>
									<option value="2006">2006年</option>
									<option value="2007">2007年</option>
									<option value="2008">2008年</option>
									<option value="2009">2009年</option>
									<option value="2010">2010年</option>
									<option value="2011">2011年</option>
									<option value="2012">2012年</option>
									<option value="2013">2013年</option>
									<option value="2014">2014年</option>
									<option value="2015">2015年</option>
								</select>
								<select name="yue"  >
									<option value="">月</option>
									<option value="1">1月</option>
									<option value="2">2月</option>
									<option value="3">3月</option>
									<option value="4">4月</option>
									<option value="5">5月</option>
									<option value="6">6月</option>
									<option value="7">7月</option>
									<option value="8">8月</option>
									<option value="9">9月</option>
									<option value="10">10月</option>
									<option value="11">11月</option>
									<option value="12">12月</option>
								</select>
								<select name="ri"  >
									<option value="">日</option>
									<option value="1">1日</option>
									<option value="2">2日</option>
									<option value="3">3日</option>
									<option value="4">4日</option>
									<option value="5">5日</option>
									<option value="6">6日</option>
									<option value="7">7日</option>
									<option value="8">8日</option>
									<option value="9">9日</option>
									<option value="10">10日</option>
									<option value="11">11日</option>
									<option value="12">12日</option>
									<option value="13">13日</option>
									<option value="14">14日</option>
									<option value="15">15日</option>
									<option value="16">16日</option>
									<option value="17">17日</option>
									<option value="18">18日</option>
									<option value="19">19日</option>
									<option value="20">20日</option>
									<option value="21">21日</option>
									<option value="22">22日</option>
									<option value="23">23日</option>
									<option value="24">24日</option>
									<option value="25">25日</option>
									<option value="26">26日</option>
									<option value="27">27日</option>
									<option value="28">28日</option>
									<option value="29">29日</option>
									<option value="30">30日</option>
									<option value="31">31日</option>
								</select>
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							申请园所 
							</div>
							<div class="baomingli_you">
								<span>
								Desired Garden:
								</span>
								<input type="text" name="yuansuo" class="bminput" />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							申请班级
							</div>
							<div class="baomingli_you">
								<span>
								Desired Level:
								</span>
								<input type="text" name="banji" class="bminput" style="width:408px;" />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							入园前看护
							</div>
							<div class="baomingli_you">
								<span>
								Primary Caregivers:
								</span>
								<input type="text" name="kanhu" class="bminput" style="width:373px;"  />
							</div>
							<div class="clear"></div>
						</div>
						
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							家庭住址 
							</div>
							<div class="baomingli_you">
								<span>
								Home Address: 
								</span>
								<input type="text" name="zhuzhi" class="bminput" style="width:416px;"  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							家长姓名 
							</div>
							<div class="baomingli_you">
								<span>
								Parents Name:
								</span>
								<input type="text" name="jiazhang" class="bminput" style="width:416px;"  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							*
							</div>
							<div class="baomingli_zhong">
							联系电话 
							</div>
							<div class="baomingli_you">
								<span>
								Telephone: 
								</span>
								<input type="text" name="dianhua" class="bminput" style="width:436px;"  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							
							</div>
							<div class="baomingli_zhong">
							邮政编码  
							</div>
							<div class="baomingli_you">
								<span>
								Postal Code:
								</span>
								<input type="text" name="youbian" class="bminput" style="width:422px;"  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli">
							<div class="baomingli_zuo">
							
							</div>
							<div class="baomingli_zhong">
							电子邮件   
							</div>
							<div class="baomingli_you">
								<span>
								 E-MAIL:
								</span>
								<input type="text" name="youxiang" class="bminput" style="width:456px;"  />
							</div>
							<div class="clear"></div>
						</div>
						<div class="baomingli" style="height:90px;">
							<div class="baomingli_zuo">
							
							</div>
							<div class="baomingli_zhong">
							特殊说明  
							</div>
							<div class="baomingli_you" style="height:90px;">
								<span>
								Additional Comment: 
								</span>
								<textarea type="text" name="shuoming" style="width:370px;height:80px;border:none;" ></textarea>
							</div>
							<div class="clear"></div>
						</div>
						
						<div style="color:#ff6600;margin-left:90px;">
						*为必填信息，请详细填写
						</div>
						<input type="submit" style="background:#70bb2b;padding:5px;margin-left:90px;margin-top:10px;color:#fff;cursor:pointer;" value="提交申请" />
						<div class="clear"></div>
					</div>
					<div class="clear"></div>
				</div>
				<!--二级content-->
				<div class="clear"></div>
			</div>
		</div>
		<!--首页zhongbox-->
	</Joyeasy:list>

<include file="Public:footer"/>
